Harnett Obgyn Llc

NPI 1043510696 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1043510696
Enumeration Date 10/29/2010
Last Updated 01/05/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name WALLACE J WALLACE
Position CHIEF MEDICAL OFFICER
Phone (910) 892-4092
Fax (910) 892-0788
Practice Location
608 TILGHMAN DR
DUNN NC, 28334-5525, US
Phone (910) 892-4092
Fax (910) 892-0788
Business Location
608 TILGHMAN DR
DUNN NC, 28334-5525, US
Phone (910) 892-4092
Fax (910) 892-0788
Toxanomy
Taxonomy Code 207V00000X
License State
License Number
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According to our database, Harnett Obgyn Llc NPI is 1043510696, taxonomy code is 207V00000X Harnett Obgyn Llc physically located at 608 Tilghman Dr, Dunn NC, 28334-5525. NPI Number 1033115704 has the healthcare provider type.

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1043510696 NPI number is provided on an as is basis without warranty of any kind. 1043510696 is maintained by the National Plan & Provider Enumeration System. The contents of Harnett Obgyn Llc are for informational purposes only.